From mild discomfort to chronic agony, pain is an intricate and complex sensation affecting various aspects of our lives. Pain can significantly impact our physical and emotional well-being. One common question is whether pain can cause high blood pressure.

This article will explore the possible connections, underlying mechanisms, and scientific evidence surrounding the complex relationship between pain and blood pressure.

Acute Pain and Blood Pressure

It is important to differentiate between acute and chronic pain, as they have distinct characteristics and potential impacts on blood pressure.

Acute pain is typically short-term and is often the result of an injury or illness. When we experience acute pain, our body’s stress response activates, leading to various physiological changes. These changes include the release of stress hormones (adrenaline and cortisol), which can temporarily increase blood pressure. The response is part of the body’s natural defense mechanism, preparing us to respond to potential threats. However, the increase in blood pressure is generally temporary and subsides once the acute pain diminishes or is adequately managed.

Chronic Pain and Blood Pressure

Chronic pain, on the other hand, persists for an extended period, often lasting for months or even years. Conditions such as fibromyalgia, arthritis, or neuropathic pain can result in persistent, long-term discomfort. The relationship between chronic pain and blood pressure becomes more complex.

While the exact mechanisms are not yet fully understood, researchers have proposed several possible explanations for potential links between chronic pain and high blood pressure. One hypothesis suggests that chronic pain may disrupt the autonomic nervous system, which is responsible for regulating blood pressure. Imbalances in the autonomic nervous system can lead to increased sympathetic activity and elevated blood pressure.

Another theory suggests that chronic pain may contribute to inflammation in the body. Inflammatory processes have been associated with various health conditions, including hypertension. By triggering systemic inflammation, chronic pain could potentially contribute to the development or exacerbation of high blood pressure.

In addition, chronic pain often takes a psychological and emotional toll on the patient, which can also impact blood pressure. Persistent discomfort can lead to stress, anxiety, and depression, which are known to affect cardiovascular health. The constant burden of chronic pain often disrupts sleep patterns, decreases physical activity, and can contribute to an overall decline in quality of life. These factors, in turn, may indirectly influence blood pressure regulation.

Scientific Evidence: Exploring the Research

Several studies have examined the potential relationship between pain and high blood pressure. While the existing body of research provides valuable insights, it is important to note that further investigation is still required to comprehend the mechanisms involved fully.

  • A Journal of General Internal Medicine study explored the effects of acute pain on blood pressure. The findings revealed a temporary increase in blood pressure during episodes of acute pain, supporting the notion that pain can immediately impact cardiovascular parameters.
  • A 2011 study published in Pain in found that people with chronic pain were more likely to have high blood pressure than those without pain. The study also found that the risk of high blood pressure was higher in people with more severe pain.
  • A study published in the Journal of Pain Research in 2015 examined the association between chronic pain and hypertension. The researchers found a significant correlation between the two, suggesting that chronic pain may contribute to elevated blood pressure
  • The journal Hypertension published a 2013 study that found people with chronic pain were likelier to have elevated blood pressure levels, even after controlling for other factors affecting blood pressure, such as age, sex, and race.

These studies suggest a link between pain and high blood pressure. However, more research is needed to understand this link better and determine the best ways to prevent and treat high blood pressure in people with pain.

Managing Pain and Promoting Cardiovascular Health

Given the potential association between pain and high blood pressure, it is crucial to address pain management comprehensively. Effective pain management at Novus Spine & Pain Center’s pain clinic in Lakeland, Florida, aims to alleviate discomfort and promote overall cardiovascular health and well-being.

For acute pain, prompt and appropriate treatment is essential. By managing acute pain effectively, minimizing the transient increase in blood pressure associated with the body’s stress response may be possible. Non-pharmacological interventions, such as relaxation techniques, heat or cold therapy, and physical therapy, can often provide relief without needing medications.

In the case of chronic pain, several different approaches are often necessary. It can include a combination of medication, physical therapy, psychological support, and lifestyle modifications. By addressing the underlying causes of chronic pain and adopting a holistic approach, it is possible to reduce pain’s impact on blood pressure and overall cardiovascular health.

What Can You Do?

If you are in pain, there are a few things you can do to help keep your blood pressure under control. These include:

  • Regular Exercise: Exercising can help to lower blood pressure and reduce pain.
  • Enough Sleep: Sleep deprivation can raise blood pressure.
  • Managing Stress: Stress can trigger the release of stress hormones, which can raise blood pressure.
  • Taking Pain Medication as Prescribed: Some pain medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs), can raise blood pressure. Talk to your doctor about the best pain medication for you.

If you have high blood pressure, working with your pain doctor to manage your condition is essential. It may be necessary to make lifestyle changes, such as losing weight, eating a healthy diet, and quitting smoking.

The Bottom Line

Pain can have an impact on blood pressure. Acute pain can temporarily increase blood pressure due to the activation of the body’s stress response. On the other hand, chronic pain may contribute to high blood pressure through various mechanisms, including an impairment of the autonomic nervous system, inflammation, and the psychological toll it takes. Therefore, pain management is critical in addressing discomfort and promoting cardiovascular health.

Novus Spine & Pain Center

Dr. Torres established Novus Spine & Pain Center in Lakeland, Florida, with the goal of providing the highest quality pain management care to every patient. Whether pain is the result of an injury or from another condition, Dr. Torres offers many different treatment options.

Novus Spine & Pain Center utilizes a comprehensive approach and cutting-edge therapies to restore normal function and allow patients to regain an active lifestyle while minimizing the need for opiates. As our patient, you are our top priority. Our goal is to help you achieve the best possible quality of life.

Our Mission Statement: To provide the best quality of life to people suffering from pain, by providing state of the art treatments, knowledge and skill, compassion, and respect for all.

For your convenience, you may schedule an appointment online, request a call back, or call our office at 863-583-4445.


Chronic Pain and Cardiovascular Disease: A Research Update  (Practical Pain Management)
The Relationship Between Blood Pressure and Pain (PubMed)
Assessing the relationship between chronic pain and cardiovascular disease: A systematic review and meta-analysis  (De Gruyter)
Can Pain Cause High Blood Pressure? (Verywell Health)
Effect of pain and nonsteroidal analgesics on blood pressure (PubMed)
Surprising Things That Raise Your Blood Pressure  (WebMD)
Can Pain Cause High Blood Pressure? (University Health News)
Can pain and inflammation cause high blood pressure? (Everlywell)